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What Does "Prompt" Mean in Early Intervention?

Prompt hierarchies are a systematic way of offering assistance or cues to encourage learning and independence, particularly in individuals who may require extra support to acquire new skills or behaviors, such as autistic children. This technique is especially valuable in educational and therapeutic settings, where tailored approaches are necessary to meet the diverse needs of autistic learners. The essence of prompt hierarchies lies in their structured progression, moving from the most-to-least or least-to-most supportive prompts, ensuring that the learner gradually gains the confidence and ability to perform tasks independently.


A prompt hierarchy depends on which way you'd like to support your child. Typically with new behaviours, a parent starts with the most supportive cues and progresses to less direct forms of assistance. The goal is to reduce the learner's reliance on prompts over time, fostering greater independence. Conversely, if it is a behaviour that is emerging or the child has already gained, a parent uses least-to-most prompting, giving less support and then more support as needed.


There are several types of prompts, including:

  1. Physical Prompts: Direct physical interaction, such as guiding a child's hand.

  2. Modeling Prompts: Demonstrating the desired behaviour or action.

  3. Gestural Prompts: Using gestures, such as pointing, to indicate the desired response.

  4. Verbal Prompts: Providing verbal instructions or cues.

  5. Visual Prompts: Utilising pictures, symbols, or written words to indicate the desired action.

  6. Environmental Prompts: Arranging the environment in a way that encourages the desired behavior.

The specific order and types of prompts used can vary depending on the child's needs and the skill being taught.


When working with autistic children, prompt hierarchies can be particularly effective for several reasons:

  • Tailored Learning: Autistic children often have unique learning styles. Prompt hierarchies allow for customization to meet individual needs.

  • Encouraging Independence: By systematically reducing the level of assistance, children learn to complete tasks independently, boosting their confidence and autonomy.

  • Enhancing Communication: Prompts can be used to develop communication skills, from using gestures to forming words and sentences.

  • Building Social Skills: Modeling and environmental prompts can help children learn appropriate social behaviors and interactions.


Implementing prompt hierarchies involves several key steps:

  1. Assessment: Evaluate the child's current abilities and challenges to determine the starting point within the prompt hierarchy.

  2. Selection of Prompts: Choose the types of prompts that will be most effective for the child and the skill being taught.

  3. Prompt Fading: Gradually reduce the level of assistance, moving from more intrusive to less intrusive prompts, based on the child's progress.

  4. Consistency and Patience: Consistent application and a patient, supportive approach are crucial for success.

  5. Monitoring and Adjustment: Continuously monitor the child's progress and adjust the types and levels of prompts as needed to ensure continued development and success.


Prompt hierarchies offer a structured, flexible framework for supporting the learning and development of autistic children. By carefully selecting and adjusting prompts based on the child's needs and progress, educators and therapists can effectively foster independence, communication, and social skills. This approach underscores the importance of individualised strategies in the education and support of children with autism, highlighting the potential for each child to achieve their full potential with the right support and guidance.

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